摘要 |
<p><P>PROBLEM TO BE SOLVED: To enhance the quality of verifying and examining the content of medical treatment to a judo therapist and to increase the efficiency of processing procedures from the examination to the payment of medical expenses the payment of which is applied for. <P>SOLUTION: This system includes a step for letting an agent T input payment application data to a computer 1 when requested by an insurer H receiving the application of the payment of medical expenses from a judo therapist; a step for examining an insured as to preset question items when the insured is qualified; and a step for reporting to the insurer H that the insured can be paid if nothing is questionable or, if there is something questionable, notifying the insured of this. The system further includes a step for verifying whether the content of medical treatment is appropriate if there is an answer from the insured to the notification; if the content is appropriate, a step for reporting to the insurer H that the insured can be paid; and if it is not appropriate, a step for reporting to the insurer H that it is not appropriate. <P>COPYRIGHT: (C)2005,JPO&NCIPI</p> |